Reflex sympathetic dystrophy: misdiagnosis in patients with dysfunctional postures of the upper extremity.
J Hand Surg Am
; 25(6): 1152-6, 2000 Nov.
Article
em En
| MEDLINE
| ID: mdl-11119678
ABSTRACT
The purpose of this case-control study was to assess the frequency of the inappropriate diagnosis of reflex sympathetic dystrophy (RSD) in patients who presented with dysfunctional postures of the upper extremity (n = 43). This group of patients with a dysfunctional posture was compared with a randomly selected control group of patients who presented with pain but no dysfunctional posture (n = 88). The patients underwent radiographic evaluation after review of previous medical records and history and physical examination. Patients with dysfunctional postures had a significantly higher frequency (63%) of a previous inappropriate diagnosis of RSD compared with the control group (6%). None of the patients in either group had objective findings consistent with a diagnosis of RSD. Patients presenting with dysfunctional postures of the upper extremity may be misdiagnosed as having RSD and rarely meet the criteria for this diagnosis.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Braço
/
Distrofia Simpática Reflexa
/
Erros de Diagnóstico
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Observational_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Hand Surg Am
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
Estados Unidos